| NPI | 1003354119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW007607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 10882419-3501) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2020-06-29 |